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Somos OC | Mpowerment Orange County CA

Tuesday, May 26, 2015

Why is it important to conduct
monitoring and evaluation? The Mpowerment Project (MP) was carefully designed and tested in several
different communities to see if it was successful in reducing sexual risk behavior among young gay/bisexual men. The intervention’s success has been established through carefully controlled scientific studies. However, every community and community-based
organization (CBO) is somewhat different, and each community and organization that decides to adopt the Project will need to
adapt the intervention to its own unique circumstances.

It is better to have
small, measurable
goals and objectives
than sweeping,
unrealistic ones.

Evaluation can help answer some
basic and important questions Five important questions the Implementing Agency and the Project should be asking itself include:1. Are we implementing the Project with all the Core Elements and following the Key Characteristics of the MP? 2. If we adapted the MP, are we conducting it with
fidelity to the Guiding Principles of the original model? 3. Was something left out or changed from the MP that may make the intervention more or less effective than
originally demonstrated? 4. What MP Core Elements are being delivered and
to whom? How well are the MP Core Elements being
implemented? 5. Are we obtaining the necessary information we need to satisfy
our funder?

Wednesday, May 6, 2015

The following themes about important issues to address in reaching Young Black Men who have Sex with Men (YBMSM) emerged from our research. We spent time understanding what the themes each
mean, and then how they should be incorporated into the Mpowerment Project's guiding principles and core elements. Every core element was analyzed to determine how to incorporate
each issue into it. These adaptations are addressed in the rest of the manual, Adaptation of the Mpowerment Project to Young Black MSM.

Internalized Racism / Internalized OppressionYBMSM may have internalized negative societal messages related to their sexual or racial identities.
This internalized oppression can affect young Black Gay and Bisexual Men in a variety of ways, including low self-worth,
self-esteem, and self-love. It may also affect their desire to get tested or to avoid contracting HIV. Additionally, internalized oppression may also affect how YBMSM treat each other in sexual
relationships, which is relevant to preventing HIV transmission, and prevention for positives. The
project should deal with internalized oppression by integrating pride, both in Black heritage and in
having same sex desire, into all core elements, as well as exercises that create conscious awareness
of internalized oppression.

Whole-man ApproachThe project needs to focus on the “total” young man and not just on young men’s sexuality. This is particularly important since Black men are often stereotyped as being overly sexualized. Thus a holistic approach means not solely focusing on YBMSM’s behavior (sexual, or otherwise),
recognizing that the participants are part of a larger Black community, and that many are faced with
a wide-range of life issues including discrimination; socio-economic challenges; a biased criminal
justice system; institutional and/or overt acts of racism; a sense of fatalism, hopelessness, and loss
of control over their lives; and a “mainstream” gay community that has not been accepting of or
welcoming to them. Additionally, a holistic approach includes supporting YBMSM to take on adult
responsibilities and think about the future; a focus on wellness, such as exercise, diet, prayer; and supporting a connection to religion and spirituality. Yet the Board of Cultural Experts (BOCE) were also adamant that HIV
prevention should not get lost in conducting these activities, and that HIV prevention should be
woven into all activities.

Diverse Sexual Identities
YBMSM have a wide variety of sexual identities (gay, bisexual, “down low”, same gender loving
(SGL), heterosexual, “just me”). Many men may be reluctant to join an overtly “gay” project and
attend activities marketed “for gay men.” Yet in Dallas we have found that many men do want to
attend a program that is described as “for gay men.” This should be explored in any new community
implementing the Mpowerment Project.

The Evolution Project | Mpowerment Atlanta GA

Creating Young Black Gay/SGL Community Amidst Great
Diversity
The project needs to help YBMSM envision and create for themselves a healthy, supportive
community that recognizes and accepts the tremendous diversity among YBMSM. There are many
diverse social networks that young men are involved in, which includes having their own clothing
styles, activities, music, communication patterns, and slang. The project needs to facilitate a process
wherein YBMSM consciously build a broader community in their own vision that encompasses
diverse social networks, as well as men who are isolated. Yet class divisions in particular are likely
to be challenging, and the BOCEs expressed concern about building a YBMSM community in which
many life experiences of lower-income and middle-class YBMSM are very different.
Bisexuality
Many YBMSM have concurrent sexual relationships with women and men, regardless of how they identify. Thus sexual risk behavior with women is also important to address. Yet most of the
YBMSM who attend this program are unlikely to have sex with women since the intervention is
most likely to attract men who are more “out” about their same sex attraction, and therefore, most
activities should focus on sex with men.

United Black Ellument | Mpowerment Dallas TX

Lack of Role ModelsMany YBMSM have had few adult men in their lives. This sometimes results in YBMSM having a
lack of information about how to handle adult responsibilities. In addition, since many older Black
MSM are not completely “out” in the Black community, many young men do not have a vision of
how older MSM live, have long-term relationships, financially support themselves, deal with their
families, have children, and so forth. Group mentoring activities at the project space, with older men
serving as role models and being sources of information to younger men, may be helpful.Privacy Concerns
Many YBMSM are very concerned about “sharing their business” with others, feeling that too often people in the Black and Black MSM community gossip about each other. It was felt that out
of concern about not “spreading my business,” people often do not share their private issues with
others until they are quite comfortable and familiar with them. Activities that involve disclosure of
personal information may need to include the development of trust and rapport building, as well as
continual reminders about not gossiping with others about what is heard at the project.

High HIV Seroprevalence among YBMSM,
Many of Whom Do Not Know
While the MP has never been solely a project for HIV-negative men, earlier research was conducted
in low seroprevalence communities, and most participants were HIV-negative. In contrast, there
are far more HIV-positive YBMSM, some of whom have not been tested or tested recently. The Mpowerment Project has an explicit focus on: a) supporting HIV-positive men to be safe sexually; b) reducing stigma of
HIV-positive men; and c) encouraging men to get tested at least every 6 months so they know their
current HIV status.

Religion and Spirituality Must be Addressed
Most YBMSM were raised going to church most Sundays, spirituality and religion are constant
themes in many men’s lives, and many phrases sprinkled throughout daily converse pertain to
religion. Yet religion has also had a deleterious impact on many men as they continually heard
negative statements about homosexuality and gay men preached from the pulpit. Their families
often time have repeated these statements at home. Therefore, religion and spirituality must be
addressed, both explicitly and implicitly in various ways throughout the intervention.
RELATED: The Mpowerment Project: Faith and spirituality exerciseStigma (Prejudice) Against HIV-Positive YBMSM
There are considerable negative attitudes about men who have contracted HIV, which are expressed
in a large variety of ways. This may cause HIV-positive men to hide their HIV status from everyone,
including best friends, lovers, and family. It can cause them to feel quite isolated and marginalized.
Feeling ashamed when they learn their HIV-status, they sometimes avoid seeking treatment or
drop out of care, and lack emotional support for staying in care or taking medications as prescribed.
They may avoid disclosing their HIV status to sex partners out of fear that the sex partner might
gossip about them. Some young men do not even tell their boyfriend that they are HIV-positive out
of fear of rejection or of it being gossiped about if they break up. Many social networks are close
knit, and thus gossip gets around very quickly. Fear of being marginalized if one finds out that he is HIV-positive may even make it very difficult to seek HIV-testing. Instead of believing the adage,
“Knowing is power”, many men would say that, “Knowing means you must recognize that you are an
awful [dirty, sick] person.”RELATED: The Mpowerment Project: Fighting HIV stigma

Greater Columbus Mpowerment Center | Ohio

Using a Culturally Appropriate Pedagogy
It is not only important to focus on what issues are addressed in the intervention, but how they are
addressed is important as well. All parts of the intervention need to be conducted using culturally
appropriate methods, including visual images, music, and exercises. Scenarios that are presented
for role plays need to be tailored, and the use of affirmations, music, and spoken word exercises may
prove very useful, with less emphasis on written materials.